Archive for the ‘Aging’ category

On Dying

July 4, 2015

So Happy Fourth of July to everyone. We will be going to a pot luck picnic at our Masonic Lodge in San Pedro. The lodge has a spectacular view of the LA Harbor. It is an excellent spot to watch the fireworks. It is familiar territory. We try to avoid big crowds with Mary. She doesn’t do well with them. I will post pictures tomorrow.

So this morning I read an article by Eleanor Goodman on dying. Eleanor Goodman you might remember (or perhaps not) as a columnist for the Boston Globe. The article’s title is “How to Talk about Dying”.

The article really hit home for us. For example, she says,

 

 

 

 

Yes, my mother and I talked about everything — but we didn’t talk about how she wanted to live toward the end. The closest we ever came to discussing her wishes was when she would see someone in dire straits and say, “If I’m ever like that, pull the plug.” But most of the time there is no plug to pull.

 

Right, no plug indeed. She also talks about something the experts call executive function, where one loses the ability to do ordinary things like deciding what to eat or how to turn on the TV or make a phone call.

Mary is certainly heading in that direction. She gets stuck in a rut on what to have for breakfast. For a while, all she would eat would be Cheerios with blueberries. Then all of a sudden, she starts eating Raisin Bran. She probably switched because we were out of Cheerios, so now Raisin Bran is the new normal.

Slowly but surely, we are taking over those executive functions on what she eats or what medicines she takes to insure that her last days are the best that they can be.

So back to the column. Ms Goodman is working on a non-profit called “The Conversation Project”. Here’s the pointer to her piece in the NY TImes.

And here’s the link to “The Conversation Project“. Go take a look. You won’t regret it.

Mary K, Inc.

June 29, 2015

Back in the day, Mary was the one who managed the family finances. All Harold wanted was enough money so that he could do his Lodge and Shrine activities. Harold didn’t care  a fig about paying bills. Mary was happy to do it. So it was a struggle for Mary to give up this responsibility. So when Harold died in 2009, she was already handling the finances.

Three years ago when Paula and I arrived in San Pedro after moving from Mass, I was beginning to see warning signs. Bills were not getting paid every month. Sometimes, bills would get over paid. Since we were living with Mary, I could see the mail arriving every day and see the bills. i would also see piles of mail on the table that would eventually get put into a shopping bag and then forgotten. Sometimes, Mary would write a check then put in envelope and forget to mail it.

To add to the problem of incoming bills in the US Mail, she was also receiving mail from every right wing politician and organization looking for money. Indeed, even Harold (who has been dead now for almost six years) was receiving (and continues to receive) political mail. She was donating money to political causes. Not a lot, but enough to get her on numerous mailing lists. Even dying won’t get you off of the mailing lists. She was getting to be unable to filter the important mail from the chaff. More on that later. My view is that giving money to politicians just encourages them.

So, our goal has been to keep Mary safe and to avoid nursing homes at all cost (pun intended). Paula watches over her health issues, I watch over her fiscal issues. We both are cooks and chauffers. So I have become the CFO of Mary K, Inc. It didn’t start that way but after her first fall, it became clear that I had to do a more active role in managing her finances. Living with her certainly makes that easier.

After her fall in Dec 2013, we took a trip to Wells Fargo Bank. WF is her primary checking and savings account. At the time I was examining her bank statement and found three fraudulent checks written to the tune of about $12k. At the time Paula and I had Mary add us as signers on the account. If I hadn’t been looking over her statements, she would have never seen the issue

Because of the fraudulent checks, we had to open a new account and close the old one. WF has an electronic banking feature that allows me to get email notification on balances and checks paid. At the time, she had over $30K in her checking account. So I moved most of that money to her savings account. My goal was to have no more than $5K in the checking account and no less than $2K. Fraudsters can empty an account in a heartbeat. No use making it too easy.

So over the past year or so, we made trips to the other banks where Mary had money stashed away and got our names added to the accounts. Once again using electronic banking to monitor the cash flow from pensions, investments and payments. The faster I can notice something amiss, the easier it is to get the bank(s) to fix it.

Back to the political mail. Even though I tend to be more leftist in my thinking I would be throwing out mail from Democrats as well as Republicans. The donations are not tax deductible. Sending them money just encourages them to send more mail. There is a large trash can in the mail room. The political mail doesn’t get past the trash bin. We would be drowning in paper if I brought it upstairs.

One more “Mary” story and then I’ll shut up for today. Over the years, one of Mary’s “hobbies” has been real estate. Several times over the years when she came to visit us in Mass., she would go out looking at houses with little intention of buying. And so it went in San Pedro. She would look at real estate. So the real estate agent would call after a couple of weeks to check on Mary. I had to tell him or her the bad news. Mary would not be buying any real estate this time. Though from time to time she would decide to buy. She tended to move every 7 years or so. I don’t know how Harold managed to put up with that.

So not long after we arrived in 2012, she went out to look at some new town houses not far from us. I knew this because she brought home several glossy brochures extolling the wonderfulness of the property. I told her, “Mary we need to talk”. I can’t tell whether you are “just looking” or are “serious”. I told her that Paula and I had just finished a difficult trans-continental move. I told her that if she did this, it would be on her own. She could move, but we wouldn’t move with her. That was the end of that little adventure. As it turns out, the townhouses would have been spectacularly bad for her and us. Stairs are not our friend.

TTFN,

Joe

Mary!

June 27, 2015

  Time for another update on Mary. She is more or less the same as two weeks ago. Here are a couple of stories worth telling.

Mary needs someone at her side almost constantly. She uses her cane. She has a walker but doesn’t like to use it. So we need to walk by her side so that she doesn’t fall. A fall in this point in her life would be deadly. So this week she decided that she would like to attend the monthly luncheon meeting of her Republican Women’s club at the Ports’o’Call restaurant in San Pedro.

So this caused us to have some logistical issues. First, neither Paula nor I are members. I fail to meet two of the requirements, that of being a woman and being a republican, Paula passes the first requirement (of being a woman) but not the second. What to do? One time early in our stay here in LA, Paula did go with her but swore to me and to herself, NEVER AGAIN!

So that means making alternate arrangements. We call Mary’s friend Beth to see if she can give her a ride home. Paula would take her and leaver her. Beth would make the lunch reservation and bring her home. So far so good. Then on Thursday morning Beth calls me to tell me that she has had to cancel. That means we need to make alternate arrangements. I relayed the information to Paula while she was with Mary getting her hair done at Rose’s Beauty Salon.

Paula would go and pick her up at 2:00 PM. We tried to get someone to stay with Mary until Paula picked her up so that she didn’t go wandering off. Paula picked her up on time. Mary had won a door prize which was a bottle of Kahlua with rum. Not sure what we’re going to do it. Mary doesn’t do rum or coffee brandy. Perhaps we’ll donate it to the lodge for pub night.

One time a year or so ago, one of her friends asked Mary why Paula didn’t come. So Mary, told the friend that Paula’s husband (that being me) wouldn’t let her. Well Paula just about blew a gasket when the story made its way back to her. She had a word with Mary about making up stories. To which we add, “God Bless President Obama”.

Now for the second story. Paula and I try to keep up with what Mary likes to eat and drink. Sometimes the best of plans go awry. First example: Mary has been eating Cheerios with blueberries for a long time. Suddenly she decided that she would like to try something different. We offer her instant oatmeal, nope that’s not it.

We tried frozen waffles. She tried them once but doesn’t seem to care for them long term. Once she suggested that we make waffles from scratch. Paula and I said that’s not going to happen,

I usually have some Raisin Bran Crunch. She decides that she’ll try that with blueberries. Well she loves the stuff. Lucky for us Raisin Bran Crunch is on sale at Haggen’s.

Next example: For a while now, she has been drinking either cranberry juice or apple juice. She was also drinking Dr Pepper. But we have weaned her off of the sodas. We thought that the caffeine and the sugar couldn’t be doing her any good. Now all of a sudden she wants hot chocolate. (Nestle’s Quik mixed with 2% milk and put in the microwave for 45 seconds. Now we have a couple of gallons of juice that is not getting consumed. She will have to have the juice tonight because we are out of milk and quik. We will push the juice before we restock the Nestle’s Quik.

Occasionally people give us suggestions on places to take her. One suggestion was some fashion show in the South Bay. We gently tell people that Mary isn’t the same person that she was five years ago. Going to some of these events takes planning. How accessible is it. Are there enough HP parking spaces? Crazy as it might seem, the store that seems to have the most HP spots is Home Depot. And award for the least number of HP spots go to the grocery stores. We have an HP placard, but a lot of times the HP spaces fill up fast. Evening events are trouble. She gets tired easy and walking in the dark is a big problem. And then after all is said and done, two days later she doesn’t even remember going.

We prefer going to known venues that we are comfortable for Mary and us. Church and Lodge fit the bill nicely. There are either ramp and/or elevator. The church has about four HP slots plus a number of spaces for the “elderly”. So we’ll have a quiet night at home and go to church with her tomorrow.

I will add a new picture next time I write about Mary.

It Is Well with My Soul

March 22, 2015

Every week on Wednesday, Paula, Mary (sometimes) and I attend a senior Bible study group at Ocean View Baptist Church. The group is lead by our senior pastor Jacques. Pastor Jacques usually struggles to get through his lesson plan because we managed to go down many ratholes in search of understanding.

Usually, the group starts with prayers. This is also a time for folks to share those who might be in the hospital and/or sick. After the prayers, we sing a hymn. I get to choose the hymn. I usually like to choose old standards. I don’t care for the new-agey hymns that are sung during our Sunday services. The seniors seem to be all right with that.

A little over a year ago, Jacques came to our home to visit with Mary who had just gotten home from the hospital after shoulder surgery. So, Pastor Jacques sees our piano. He asks Mary if she played the piano. So she said no, that would be Joe’s piano. So Jacques discovers that I play the piano. He asks if I would be willing to play a hymn for the Bible study group every week. I said certainly.

So I pass around a piece of paper requesting what everyone’s favorite hymns were. I then started working through the list.

I usually pick a hymn on Monday or Tuesday and email the music to Jacques. Jacques prints out about 20 copies for the group. So I play the hymn and sometimes “Happy Birthday” for whoever is celebrating a birthday.

A few weeks ago I played a hymn and right after I finished i segued into a few bars of “Alley Cat”. That always amuses everyone. I get to play what I like. Darrell (a retired pastor) humorously said that we shouldn’t be playing boogie-woogie on a Baptist piano.

So now let me get to the title of this post. I read a blog (one of many) called “The Inspired Funeral” by Amy Cunningham. She writes:

“It is Well With My Soul” is one Christian hymn that expresses faith in God and peace with loss. It’s a predictably terrific number for the funerals or memorial services of people who were ready to die.

She also posted a pointer to Youtube video of Marion Williams singing “It is Well with My Soul”. I was so moved by her performance, I decided that we just had to do it on Wednesday.

Here’s the video for your enjoyment:

Here are lyrics from the first verse:

When peace, like a river, attendeth my way,
When sorrows like sea billows roll;
Whatever my lot, Thou has taught me to say,
It is well, it is well, with my soul.

Refrain:
It is well, with my soul,
It is well, it is well, with my soul.

Update on Mary

March 12, 2015

2015-01-27 10.53.58 HDRIt is time to write and update on Mary. She has been doing pretty well lately, She goes to the YMCA in San Pedro twice a week to exercise. The YMCA has a program that they call “Beyond Rehab” that runs twice a week.

The room has the usual exercise equipment like treadmills and recumbent bicycles. The room is staffed with a nurse and a respiratory therapist (and some times student nurses).

The program is designed to help folks who are recovering from falls, strokes and other misfortunes of growing old.

Mary always likes to stop and watch the little children in the YMCA pre-school program.

So yesterday, Mary had a follow-up appointment with her neurologist. Paula usually takes her to most medical appointments. She is doing remarkably well for someone her age. They had her do some sort of cognitive function test to judge how well she is doing. They asked questions like “What day is it?” or “What city do you live in?” etc. She did pretty good in that she got 23 out of 30 questions right.

The major issue the neurologist is monitoring is “hydrocephalus” or water on the brain. Here is an interesting article about the condition. In Mary’s case it primarily affects her walking abilities. There is nothing much that can be done. A surgeon could install a shunt to reduce the pressure of the spinal fluid, but that would be extremely risky for someone of Mary’s age. So we just monitor and visit the neurologist every six months or so.

So we are going on nine months without any serious falls. We try to make sure that she ALWAYS has her cane. And we certainly don’t let her drive. (Luckily she hasn’t asked.) We haven’t ventured far from home since our trip to Visalia in October. Our concern is that accidents that happen far from home are much more difficult to handle logistically. We are still trying to figure out how to manage Paula’s and my trip to Boston in May. We can leave her for a couple of hours to go to a movie but leaving for five days is a whole other ballgame.

So that’s it for now in San Pedro.

TTFN

Mary update

January 26, 2015

Today is Monday. On Monday we try to go over calendars. So we are sitting at the kitchen table. Mary and Paula have their hard copy calendars and I have the calendar on my iPad. We try to do this every week in order to keep Mary tuned into the world around her. We try to only do one week at a time. It is useless to talk about something that is scheduled a month from now. Mary dutifully writes down the events that we tell her. Of course, by tomorrow, she will remember little of the details.

Sometimes Mary has trouble figuring out what day it is. We have all the hints available, the newspaper, the calendar, etc,

So it starts out like this. Monday, Alicia (our cleaning lady) comes to clean. Tuesday and Thursday, we take her to the Y for exercise. Wednesday, we have Bible study. Occasionally, we have doctor’s appointments, but not this week.

Also, most Tuesdays, Mike, Theresa and family come over for dinner. Theresa will be coming this week, but not Mike. Mike is in Colorado Springs doing an USAF course.

Sometimes, Mary looks so confused. Kind of at sea. We try ever so much not to be angry at her. Mary asks us to talk about the first week in February. Paula gives her the info knowing that we will need to repeat it next week.

So it now has been eight months since her accident up in Utah. She has recovered pretty well considering. We haven’t had any new falls to deal with. The trips to the Y seem to be helpful. On the way to the exercise room we pass the child care room. Mary ALWAYS wants to stop for a minute or two to watch the children playing.

And finally, to our friends back east, stay safe and warm.

TTFN,

Joe

Flip Flopping Along

December 22, 2014

Well, here we are the day before the day before Christmas trying to finish up shopping and wrapping presents.
 
 So a couple of days ago, Mary told us that she was feeling down about Christmas. So what was the problem, we asked. This is what she told us. In years past Harold and Mary would travel out toward Palm Springs. They would stop at the Hadley Orchards Outlet and order gift baskets to be shipped to relatives and friends.


We would often receive a two pound box of dates. It didn’t matter that I didn’t particularly care for dates. So for the last few years after Harold died, she didn’t get to do this.
 
 So we suggested that we could order online from the Hadley web site. We told Mary that this would be an all day affair. It would take at least 2.5 to 3 hours each way. Mary doesn’t understand buying stuff on the internet.
 
 So on Monday, we were about to bite the bullet and take her out to Hadley and get it done. Can you tell me who you want to send packages to? I ask. She says she will have to look at her address book to make a list. So she can’t remember the names. I sort of know who she is thinking about sending to. But I can’t quite get her to tell me. Just give me the names, I say. I can get the addresses.
 
 So when we were eating dinner on Monday, she says that she doesn’t really want to go. Okay, we say. Done. But no, Tuesday morning at 10 AM she gets up and says she wants to go. But you told us last night that you decided not to go. I didn’t say that she says. Yes you did, we say. If we thought you still wanted to go, we would have wakened you up a lot earlier
 
 So I am thinking that maybe, I need to keep a log book to document each decision and have her sign off on it. Nah, that won’t work.
 
 So my point is (I do have a point). How do I get her decisions documented so that when she changes her mind and deny that she ever said something.
 
 By the way, last night was “date night”. We went to see “Wild”. More in the next post.
 
 And tomorrow, we will be taking care of Jonathan. We’ll be making Christmas Cookies. Should be fun.
 
 TTFN
 
 Joe
 
 
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Mary and other news…

November 26, 2014

It’s time for an update on Mary. Paula and Mary are off to Rose’s Beauty Salon to get Mary’s hair done before Thanksgiving. So I have a couple of hours of blissful piece and quiet.

Here’s the protocol. I walk Mary down to the elevator and then down to the garage while Paula gets the car and picks her up. Get her into the front seat and buckle her up. Her walking is getting more troublesome. Paula and I call it the “old lady shuffle”. As much as she tries to keep up a normal gait, she tends to shuffle along with her cane. Her neurologist says it is likely due to her hydro-encephalitis (ie. water on her brain). He once told us that he could install a shunt to ease the build up of fluid, but surgery at her age is very risky. So she took a pass. He said that we should expect incontinence to happen. Looks like we will buying stock in Depends.

She has pretty much recovered from the hip surgery back in June. She went through a couple of months of PT. She had another fall in October. Luckily, no damage done. It’s hard to predict when it will happen. She didn’t trip over anything. She just got dizzy and down she went.

We haven’t been doing much travelling lately. We feel comfortable leaving her alone for a couple of hours, but not so much for several days. So that being the case, we didn’t go to any OES receptions this Summer. We did go to Visalia with Mary for the OES Grand Installation in October. Usually the trips are an occasion for Paula and I to relax, but when we bring Mary along we have to stay vigilant. Of course, that means there is more money left in the bank at the end of the month.

We are not quite sure how we will deal with travel next year. We really don’t want to miss MA OES Grand Chapter in May. After the holidays, we will look into respite care to get someone to stay with her while we are gone.

Back in January, we visited her primary bank office and got Mary to add us as signers on her checking and savings account. Since that time, I have been managing her finances, paying bills etc. We have also been visiting other banks to do the same. At some point we will need to revisit her will and make sure everything all of her final plans are in order. My goal is to avoid probate as much as possible.

Mary’s short term memory continues to deteriorate. She usually has to struggle to figure out what day it is. But she seems to remember that Tuesday is the day the Mike and his family come for dinner. She is always happy to Jonathan and Sarah.

The daily grind of doctor visits and PT sessions has eased somewhat. We generally offer to take her to OES meetings. Sometimes she comes, sometimes not. Game time decision. We don’t offer to take her on grocery shopping trips, too much walking for her. Besides, that is one of the times that Paula and I can get away. So much so that the grocery clerk notices when Paula isn’t with me. Of course, the grocery store has a Starbuck’s and they know what I usually order.

Well tomorrow is Thanksgiving. We are planning to have dinner with Theresa’s family in Rancho Palos Verdes. Eric has the largest house and is best able to handle a large crowd. I expect a crowd of 25 or so. There is usually three tables. One for the seniors, kids, and little kids. I will bring my iPad and play Eric’s baby grand.

That’s all for now. Time to start working on my Christmas letter.

Joe

Election Day

November 4, 2014

Another day in the life of caring for an ninety year old woman. Best laid plans and all that. Paula and Mary planned to attend a luncheon meeting for Assistance League. Assistance League is a charitable organization of women run by women. Starts at about 10am and runs until about 1:30pm. So I have about 3.5 hours of free time.
 
 So off I go to vote. Polling place pretty much deserted at 10am. I vote and head for Starbucks. I have a dark roast and cranberry scone. Delicious. I have a few minutes of peace and quiet.
 
 Now back to the election. CA sent out flyers that explained in gory detail all of the ballot questions. Arguments for and against. I hung on to them, knowing that Mary would want to study them. She wrote some notes but loses the notes. She can’t remember the details from one day to the next.
 
 Mind you the questions are complicated and would stress out a normal person with reasonable intelligence. So this morning Mary studies the information and writes some notes. So far so good.
 
 So Paula and Mary arrive home at about 1:30pm. Did you vote? I say. Paula yes, Mary no. She wasn’t ready. So I ask her was she planning on voting. Yes she says. I groan. That means that someone (probably me) will have to take her back to the polling place later. And it would have to happen before 5pm.
 
 She eventually gave up and went back to bed for a long afternoon nap.
 
 And by the way, she had another fall on Saturday night. She got dizzy and fell. Luckily no damage done. She couldn’t get up without help. We were planning on taking her to the Demolay installation. So Paula got her undressed and put her to bed to rest.
 
 TTFN…
 
 
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The Trip to Bountiful

October 24, 2014

Last night was date night here. Paula and I try to occasionally get away from the stress of caring for her mother. Last night we attended the play “The Trip to Bountiful” at the Ahmanson Theater in downtown LA.
 
 The Trip to Bountiful was written by Horton Foote. Last night’s performance starred Cicely Tyson as Mrs. Carrie Watts, Blair Underwood as Ludie Watts, and Vanessa Williams as Jessie Mae Watts.
 
 There is also a movie version of Bountiful that starred Geraldine Page as Carrie Watts made in 1985. In that version, Geraldine Page won an Oscar for Best Actress.
 
 Bountiful is the story of Carrie who is an older women living with her hen-pecked son and controlling daughter-in-law in an apartment in Houston in the 1940’s. Every month coinciding with the arrival of her pension check, Carrie attempts to return to the home of her childhood in the fictional town of Bountiful, TX. Just about every month Jessie Mae manages to stop her from escaping.
 

 Of course, there is the obvious parallel in my living situation. Paula and I are living with her 90 something mother. Mary K has her childhood home in a place named Piedmont, KS. It is a town that has, like Bountiful, seen much better days. Mary has managed to make it back to Piedmont many times over the years. The most recent trip was this past May for her high school reunion. Paula took Mary this time and I begged off.
 
 Sometimes it seems that we are better off leaving the places of our past just in our memories. Going back doesn’t always work like we would like it to.
 
 So on to the review of the play last night. Ms Tyson nailed the performance of Carrie. She managed to get all of the mannerisms of an 80 something old woman and the clothing screamed “old lady dress”. I could close my eyes and see Mary K in my mind’s eye.
 
 Blair Underwood did an excellent job of playing the hen pecked husband and son. He got two ways from mother and wife. Last time I remember seeing Mr Underwood was in the TV production “LA Law” in the 90’s. Good job.
 

 I had a little trouble getting all of the dialogue. This is more a problem with my hearing than the production. No matter how much I tried to adjust my hearing aids, I just couldn’t quite find the sweet spot where every word came in loud and clear.
 
 The Ahmanson theater is a medium to largish theater in Downton LA. It is in the theater complex with the Dorothy Chandler Pavilion. It has excellent sight lines. We had seats in mezzanine (1st balcony) third row center. Mezzanine seats are easy to get to. We left San Pedro at about 6:15 and we were in our seats by 7:45. It takes a while to deal with traffic, parking, etc.
 
 During the intermission, the bar was charging outrageous rates. Two drinks cost us $26. Ouch. Could have used a tad more legroom. It is always a challenge to get downtown in the evening.
 
 Bountiful is playing at the Ahmanson until Nov 2. So you still have a chance to see it. Certainly worth it. Or failing that go rent the DVD from Netflix.
 
 
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